<html>
<head>
  <title>Test Form</title>
</head>
<body>

<h1>Test Form</h1>
<form action="/report" method="post">
<table>
<tr><td>Version:</td>
    <td><input name="version" value="0"></td></tr>
<tr><td>OS:</td>
    <td><input name="os" value=""></td></tr>
<tr><td>Phone:</td>
    <td><input name="phone" value=""></td></tr>
<tr><td>Carrier:</td>
    <td><input name="carrier" value=""></td></tr>
<tr><td>Features:</td>
    <td><input name="features" value=""></td></tr>
<tr><td>Log:</td>
    <td><input name="log" value=""></td></tr>
<tr><td>Auth:</td>
    <td><input name="auth" value=""></td></tr>
<tr><td><input type="submit" name="submit"></td></tr>
</table>
</form>

</body>
</html>
